JOSE ANGEL VAZQUEZ (PT) – Physical Therapist, NPI 1447407176

JOSE ANGEL VAZQUEZ (PT) is a healthcare provider. based in Mansfield, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1167330 (TX). The NPI Number for JOSE ANGEL VAZQUEZ (PT) is 1447407176

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
JOSE ANGEL VAZQUEZ (PT)
NPI
1447407176
Phone
(682) 351-1665
Address
309 REGENCY PKWY
Enumeration Date
25 August 2008
Last Update Date
8 August 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175264604
Graduation Year
1998 (28 years ago)
PAC ID
3476517079
Group Practice PAC ID
9032512272
Professional Enrollment ID
I20090714000164
Address ID
TX751651293WA1006XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for JOSE ANGEL VAZQUEZ (PT)

  • 309, Regency Parkway, Walnut Landing, Mansfield, Tarrant County, Texas, 76063, United States

    SUITE 205

    MANSFIELD, TX 760635165

    Phone: (682) 351-1665

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090714000164IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76063)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032512272View full group profile
NameSpecialtyState
Nurse PractitionerNV
Physical Medicine And Rehabilitation, Pain ManagementTX
Nurse PractitionerAZ

Reviews

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Frequently asked questions

How is JOSE ANGEL VAZQUEZ (PT) identified in CMS data?
CMS-hosted NPPES data lists JOSE ANGEL VAZQUEZ (PT) with NPI 1447407176.
Can I rely on JOSE ANGEL VAZQUEZ (PT) being an active provider?
As of the registry snapshot, JOSE ANGEL VAZQUEZ (PT) is marked active.
What taxonomy line describes JOSE ANGEL VAZQUEZ (PT)?
For research purposes, treat JOSE ANGEL VAZQUEZ (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is JOSE ANGEL VAZQUEZ (PT) based?
JOSE ANGEL VAZQUEZ (PT) is tied to Mansfield, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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